The dynamics of aging and rehabilitation following coronary bypass operation]

The dynamics of aging encompass the topics "aging of society" and "coping with chronic illness". Both are discussed using data from a qualitative study on return to work after coronary artery bypass surgery. Data from the retrospective substudy reveal four forms of aging as biographical development toward early retirement, old-age retirement, or related stages. It emerges that the manner of aging is less influenced by medical rehabilitation or medical history, and more by the patient's occupation and socio-economic status. Case reports are used to show that social class is a facilitation context, but not a determining force, regarding the choice between postoperative retirement or return to work. The final section briefly discusses whether the findings concerning the dynamics of aging of the cohort operated on in the late 1970s apply also to that of the cohort operated on in the late 1980s; this is addressed using some data from the prospective sub-study.